Theoretical Perspectives in Nursing Care

This essay discusses evidenced-based practice as a nursing theory, personal philosophy as a nurse, and the importance of theory-guided nursing practice.

Running head: THEORETICAL PERSPECTIVES IN NURSING CARE
Theoretical Perspectives in Nursing Care
Name
Institution

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Introduction
This essay discourses exhaustively on evidenced-based practice as a nursing theory. It
further deliberates on my personal philosophy as a nurse and lastly evaluates the importance and
applicability of theory-guided nursing practice.
Evidence-Based Practice
Over the years, nursing has changed — equally in the manner nurses deliver patient care
and the manner they are trained. Over the preceding few eras, however, evidence-based practice
has developed as the title average of care and significantly impacted Bachelor of Science in
Nursing (BSN) coursework. Evidence-based practice (EBP) is a patient-centered methodology
instituted on an independent technical investigation, clinical proficiency and patient
involvements (Nurse Educator, 2017). Nurses and other healthcare suppliers who apply this
attitude need to contemplate the furthermost current healthcare investigation when defining the
option of care and treatment.
Principles of evidence-based medicine comprise the trying of the efficiency and safety
techniques of diagnosis, preclusion, and treatment in medical testing. According to Diaz and
Walsh (2018), the practice of evidence-based medicine is the application of statistics from
medical examination in everyday medical work of a nurse or physician. Nurses serve influential
roles in guaranteeing and delivering evidence-based practice. They should repetitively ask the
queries, “What is the substantiation for this interposition?” Or “How do we deliver paramount
practice?” And “Are these the uppermost attainable aftermaths for the patient, relatives, and
nurse?” Nurses are correspondingly well placed to work with other fellows of the healthcare
group to pinpoint clinical issues and apply current evidence to advance practice. Many openings

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are present for nurses to probe contemporary nursing practices and use evidence to make care
further operational.
The evolution of EBP has influenced nursing in numerous ways. First, nursing tutelage
has transformed. Universities and colleges have reformed their BSN package courses to include
EBP. Learners studying for the degree, through enhanced virtual RN to BSN courses, will access
coursework that centers not only on snowballing a nurse’s inclusive understanding base but also
on the significance of professional responsibility (Manspeaker and Hankemeier, 2018). These
curriculums highlight critical thinking abilities and inspire learners to cogitate the patient’s
medical, ethnic, spiritual and socio-economic upbringings, besides appropriate technical
investigation.
The increasing use of EBP has similarly resulted in a bigger attentiveness in and
prominence on nursing exploration (Savanna, 2018). Although bachelor’s courses might
encompass a minimum of one option linked to the nursing investigation, learners might find it
useful to advance and sharpen their abilities. Even though research might not often be an
assignment consigned to entry-level nurses, it could be unhelpful to discern on a novel and
developing technical data as it could have a more straight effect on contemporary and imminent
expert nursing practices than in the former times.
Sortedahl, Wical, and Benike (2018) allude that familiarizing with several investigation
approaches might prepare nurses for professions away from the bed-side. With the amassing of
clinical practice and the achievement of a Master of Science in Nursing (MSN) degree, nurses
will get several other openings in exploration. These duties are frequently more self-regulating
and need reduced patient interaction. Nurse investigators could scheme studies or tests, gather
and assess data, and inscribe and circulate their discoveries.

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The eventual objective of the EBP program is to regulate and increase obtainability and
quality of care crosswise the healthcare scheme (Sherman, Del Valle, Fong Chan, Landon, and
Leahy, 2018). Assured patient and nurse benefits consist of the following:
Better-quality patient aftermaths- Sherman et al. (2018) denotes that having strong
emphasis on increasing the general quality of care might result in better consequences and well-
being for patients. Using the furthermost current healthcare study could assist reduce
impediments connected with chronic diseases and avert other illness or infection.
Reduced expenses of care- According to Nursing Educator (2017), approximately 25% of
Americans are living with various chronic diseases, and the price of caring for these patients may
frequently be considerable. Using EBP’s patient-centered methodology might assist abolish
avoidable charges connected to treating chronically sick individuals, besides lessen costs for
healthier patients, as well.
Grander nursing abilities- Integrating EBP all through a nurse’s training and clinical
practices cultivates more innovative critical thinking and decision-making abilities. Nurses are
well capable of adapting to conditions, exploit information and work in interdisciplinary groups.
They likewise feel a greater sense of sureness and superiority in their job (Raey, 2018).
Evidence-based practice has turned out to be an essential constituent of providing better-
quality, patient-centered care. Nursing scholars in an RN to BSN course will study EBP concepts
and relate this understanding in their professions (Diaz and Walsh, 2018). Delivering advantages
to equally patients and nurses, evidence-based practice is assisting in showing the way in
improving patient care.
Personal Theory of Nursing

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How My Personal Theory Developed
My personal nursing theory encompasses scrutiny of one's philosophies, values, and
principles with direct practice (Nurse Education Today, 2018). My personal approach was
developed by trying to respond to specific interrogations, such as, "what does nursing mean to
me as an individual?" and "what is directing my nursing practice?" To delineate my personal
theory of nursing, I will discourse on a number of the fundamental ideas of my philosophy, the
four meta-paradigms of nursing; the application of my approach to my current nursing practice,
research, administrations, and education; and lastly, my theory's strengths and limitations.
My nursing theory is described by a comprehensive, compassionate and ethnically
profound care to all my patients and their families. It is crucial to me to be a patient supporter,
supplier, instructor, supervisor, and trailblazer since I think that we as nurses must convey the
utmost quality nursing care to achieve quality in patient's aftermaths. To me, nursing is all about
empathy and attempting to appreciate humans on all emotive, bodily, and technical planes. As a
trained nurse, I feel an individual obligation to life-long knowledge, through official schooling
and practical experience to improve myself and my nursing acquaintance.
My personal nursing theory exemplifies the knowledge of nursing using the four meta-
paradigms models: person, environment, health, and nursing. To begin with, I consider that the
career of nursing is all about persons. According to Larkin (2018), care encompasses the full
patient, and not merely a particular disease or health problem treated in seclusion from the
whole. Our all-inclusive outlooks regard all aspects of a patient's life and expedite optimal
quality of life to our patients. Furthermore, while people are principal to nursing, it is likewise
crucial to see beyond the patient to the environment in which they reside. This is very vital since
individuals are fellows of a more prominent public with diverse characteristics and features that

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impact severely on our patients, so it is impossible to detach patients from their environment
since they are interconnected.
Additionally, I consider that well-being is a self-motivated condition that exists on a
range from wellness to disease and changes in reaction to environmental aspects. Health is more
about the eminence of life I work in a hospital where I occasionally come upon patients that have
gone through trauma in their lives or ail from complex protracted and severe physical and
psychological well-being disorders. Lastly, I consider that nursing implicates being with specific
patients or societies and being affianced at the moment. Every day we as nurses come upon
diverse circumstances that call for our capacity to make connotation of a patient's condition, such
as, conferring importance to those things that could be sensed, perceived, gotten, touched, sniffed
or illusory to our personal interface with patients. This practice of being involved in significant
relationships requires us as nurses to be actively involved.
How My Personal Theory Impacts My Actual Nursing Practice
My personal conviction system has at all times been to be empathetic and compassionate.
In the nursing career, one needs to have an irresistible quantity of empathy and consideration for
one's patients and their relations. A nurse is not merely concerned about the patient's physical
well-being, but correspondingly their emotive prerequisites. For instance, I work in a surgical
medicine level where occasionally I take care of chronically sick patients, and there are a lot of
intricate emotional concerns that must be acknowledged and looked into by the health care
expert. I realized that such patients, once one establishes rapport and trust, are the best and
humble patients to handle. We devote a lot of our time merely speaking to them on life and their
comforts and even though we are still handling their health needs, we are supportive of them

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emotionally more often than not. To do this sort of nursing one should have a lot of
understanding and empathy.
Furthermore, we ought to take a keener look at our humanity and the leading health care
concerns we perceive. It is essential that we investigate health complications such as health
concerns that our patients are showing. The primary reasons for mortality in this state are
illnesses or disorders that are regime adoptions (Nurse Education in Practice, 2018). We ought to
focus on the wellness of the populace, rather than being treatment positioned as a health care
scheme. If, as nurses, we are competent in health elevation training, then we are performing our
duties in the best way we can.
Importance and Applicability of Theory-Guided Nursing Practice
The role of theory in clinical nursing practice is a matter at the center of how
understanding is put into the clinical experience. The purpose of philosophy in clinical nursing
practice is regarded from the outlook of knowledge-use in background and is observed in the
framework of the nature of nursing practice and the configuration of nursing understanding (Roy,
2018). The role of theory in clinical nursing practice is at two planes: a broad-spectrum, un-
specified plane and a specific, circumstance-specific plane. At the broad-spectrum, un-specified
plane, the theory's role is to institute positioning and obligations to nursing outlooks and the
values of practice to be entrenched in all occurrences of nursing practice. In contrast, at the
specific, circumstance-specific plane, the theory's role is to offer theoretical bases to control the
means appropriate nursing actions are formed in clinical conditions. Nursing practice turns out to
be knowledge-founded by incorporating these two planes of theory-use in clinical situations.

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According to Terhaar, Taylor, and Sylvia (2016), nursing theories provides the nurse with
a direction in numerous ways. Theories likewise boost the nurse's sense of being in the right
place and individuality when it comes to assisting patients. In the healthcare community, the
nursing theories could be used in presenting the nurse their role and obligation in this
pronounced profession. When it approaches nursing training, the nursing theories must be
significantly integrated. Through this integration, nurses acquire the models of care, skills, and
approaches to use, detecting illnesses and coming up with cure procedures among several other
things. For instance, through Pender's nursing theory, nurses get to appreciate that well-being is
not the non-existence of the illnesses. In this situation, nurses get to acquire and apply the
supposed conventions. For example, Pender claimed that persons pursue to control their
manners. Therefore, nurses get to know their obligation in upholding health. They similarly get
to see the patient's accountability in their well-being and how they may inform the patients on the
same.
Through the nursing theories, the nurses come to be in a position to pinpoint the patient’s
prerequisites, improve operational patient-nurse interaction, and efficiently evaluate the state of
the patients and effectually scheme procedures to help patients. According to Whelton (2017),
nurses may apply theories in the generation of different understandings on numerous concerns.
The nurse theoretical that are found in the theories have general philosophies concerning nursing
care. In this case, Matney, Avant, and Staggers (2016) claim that the assumptions are not only
vital in the field but also in the career. In addition to assisting the nurses when it comes to
patient's care and knowing their individuality, the nursing theories have correspondingly been
used to educate the other healthcare experts on the critical role of nurses.

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From the above breakdown, it is apparent that nursing theories are a significant
contribution to nursing care and practice. Through numerous models that are shown in several of
these theories, it turns out to be stress-free for the nurse to care for their patients efficiently. On
the other hand, nursing theories are likewise intricate where various relations link several ideas.
In some circumstances, these relations do not connect to the ultimate culmination point of
nursing care (Joseph, 2018). The nursing career is likewise dissimilar from other professionals.
For instance, a patient’s contentment instructs the perch in that patients are the focal center.
Other features that are dissimilar comprise nursing integrities.
Conclusion
Evidence-based clinical practice is a methodology to decision making in which the medic
employs the preeminent obtainable substantiation, in discussion with the patient, to agree upon
the choice which fits that patient unsurpassed (McCutcheon and Stalter, 2016). So evidence-
based practice assists nurses in delivering high-quality patient care centered on investigation and
acquaintance instead of since “this is the manner we have at all times done it,” or focused on
customs, mythologies, intuitions, the guidance of coworkers, or out-of-date course books.
Nursing theories provide academic centers for nursing practice, and personal theories
every so often functions as a context for particular faculties of nursing. Specific health care
amenities will espouse a nursing theory for its nursing workforce, and in such a situation all
clinical nursing verdicts are made through the "lens" of this specific theory.
Wollerton and Swiers (2016) propose that as nursing advances into the 21st century there
is a proposition that existence and progress of the field need increased rendezvous of practicing
nurses in applying and evolving precisely nursing understanding. Maybe a starting point could be

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developing a personal nursing theory that centers on capacities distinctive to nursing as this
allows consideration on comprehending connections between own theoretical thought as
correlated to contemporary matters in the field.

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References
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